Finding 962726 (2023-001)

Material Weakness
Requirement
I
Questioned Costs
-
Year
2023
Accepted
2024-03-27
Audit: 298679
Organization: Meadville Medical Center (PA)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Health System did not keep proper documentation for micro-purchase contracts, failing to show price reasonableness.
  • Impacted Requirements: This lack of documentation violates procurement standards outlined in Uniform Guidance.
  • Recommended Follow-Up: Revise procurement controls and policies to ensure compliance and proper documentation for all federally funded purchases.

Finding Text

WIC Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing No. 10.557 U.S. Department of Agriculture Criteria or Specific Requirement – Procurement (45 CFR 200.318-200.326) Condition - The Health System entered into various professional services contracts for marketing, advertising, and information dissemination that do not exceed the simplified acquisition threshold and are considered micro-purchase awards but did not maintain appropriate documentation to document the price reasonableness based on research, experience, and purchase history to support its procurement decisions. Questioned Costs - None Context - We tested two out of a total of seven contracts that were considered micro-purchases. The sample was not intended to be, and was not, a statistically valid sample. During our testing of procurement requirements, the two vendor contracts tested over the micro-purchase threshold did not have appropriate documentation to evidence the basis of vendor selection (documentation of the price reasonableness based on research, experience, and purchase history). Effect - Micro-purchases were made without appropriate documentation to comply with Uniform Guidance requirements. Cause - The Organization does not have a comprehensive procurement policy that is in line with Uniform Guidance requirements. Adequate supporting documentation on the procurements were not obtained or maintained within vendor files and vendor contracts do not contain the necessary contract provision and language required by the Uniform Guidance. Repeat Finding - No Recommendation - We recommend the Health System revisit controls over this compliance requirement to ensure that appropriate documentation is gathered and retained within its procurement files to support all Federally funded purchasing decisions. We also recommend the Organization perform a comprehensive review of its procurement policy and ensure that it is in compliance and in-line with the procurement requirements of the Uniform Guidance.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 386284 2023-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $9.62M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $927,288
93.778 Medical Assistance Program $407,088
93.575 Child Care and Development Block Grant $34,327
93.217 Family Planning_services $15,330
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $12,264
93.959 Block Grants for Prevention and Treatment of Substance Abuse $12,042
93.301 Small Rural Hospital Improvement Grant Program $10,744
93.558 Temporary Assistance for Needy Families $6,232
21.027 Coronavirus State and Local Fiscal Recovery Funds $5,167
93.994 Maternal and Child Health Services Block Grant to the States $3,151
93.283 Centers for Disease Control and Prevention_investigations and Technical Assistance $3,023
93.943 Epidemiologic Research Studies of Acquired Immunodeficiency Syndrome (aids) and Human Immunodeficiency Virus (hiv) Infection in Selected Population Groups $2,720
93.667 Social Services Block Grant $2,528